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HomeMy WebLinkAboutMP25-055 t 1tt41n j;dyV LG VILLAGE OF RYE BROOK MAYOR 938 King Street,Rye Brook,N.Y. 10573 ADMINISTRATOR Jason A.Klein (914)939-0668 Christopher J.Bradbury www.ryebrookny_.g_ov TRUSTEES BUILDING & FIRE INSPECTOR Susan R. Epstein Steven E. Fews David M. Heiser Donald T.Krom,Jr. Salvatore W.Morlino CERTIFICATE OF COMPLIANCE June 2,2025 William Straubinger&Linda Straubinger 201 Ivy Hill Crescent Rye Brook,New York 10573 Re: 201 Ivy Hill Crescent,Rye Brook,New York 10573 Parcel ID#: 129.76-1-12 This document certifies that the work done under Mechanical Permit #25-055 issued on 4/21/2025 for the installation of a new above-ground oil tank has been satisfactorily completed. Sincerely, Steven E.Fews Building&Fire Inspector /to �E 4Rnuk o`` tim 19£32 BUILDING DEPARTMENT ❑BUILDING INSPECTOR [3ASSISTANT BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFFICER 938 KING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAx (914) 939-5801 www ryebrook.org - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - - - - - - - - - - ADDRESS : 2 V I DATE: PERMIT# I Y , y ZS ISSUED: SECT: BLOCK: LOT: ) �- LOCATION: �-� ^ ` A OCCUPANCY: 717 ❑ VIOLATION NOTED THE WORK IS... 0 ACCEPTED ❑ REJECTED/ REINSPECTION ❑ SITE INSPECTION T A R , REQUIRED ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NOTES ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION / ❑ NATURAL GAS ❑ L.P. GAS A s ej p FUEL TANK ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION ❑ FINAL < i/LD C C y� / G U i ❑ OTHER J O 1P l� y I fT ■ �� 1 � M 10 WWI- r , i! r- 1• .r '� J t1• • ill � 'w `, .IVA t : Ln o a �.n w Lrl C ll T c c PLO cV N v v � � Ue cw Vj _ L � W ca to rW tn LO ■ O 0 ,y �■■� � � � O W � 0 -Ln v� A 00 In CN CY cc O � Q W W N � � � o p ,C a•� ■ av a z • � � � � V7} � Z A z O Qvb � � vv Cs, W a o a o ' 1.0 w O a o ° H o z � o 00 Ln t, (AH "�' wd - u c � _ A W U a o U av - e I �y O a a° W xcn ids U : BUILD MENT h VIL OF RY ODK 938 KING ET RYE BR[� ,NY 10573 { APB 1 7 2�?� 4 -0668' VILLAGE Ui- RYE BROM' Application for Permit to Install Fuel Storaze Tank (*Storage Tanks in excess of 1,100 gallons require registration with the County of Westchester) FOR OFFICE USE ONLY: \ PERMIT#: Approval Date: Permit Fee: $ / f Approval Signature: Other: Disapproved: (fees are non-refundable) DO NOT START WORK or CONSTRUCTION UNTIL A PERMIT HAS BEEN ISSUED BY THE BUILDING INSPECTOR. THE ADMINISTRATIVE FEE FOR WORK PROGRESSED OR COMPLETED WITHOUT A PERMIT IS 12%OF THE TOTAL COST OF CONSTRUCTION WITH A MINIMUM FEE OF$750.00 REQUIREMENTS FOR RELEASE OF PERMIT& CERTIFICATE OF COMPLIANCE: 1. Application Completed by Bonded, Licensed Contractor. 2. Your contractor's valid proof of liability insurance. (Village of Rye Brook must be listed as certificate holder) 3. Your contractor's valid proof of workers compensation insurance. (Form#C 105.2 or Form#U263 /or NY State Workers Compensation'Waiver) 4. Fee per Tank: installation: $185.00 vel n 5. Dig Safely New York#(dial 81 1): 6. Inspection by Building Department for installation. 7. Submit all Manifests& Reports (if applicable, after work has been completed). 8. Certificate of Compliance will be provided when all requirements are fulfilled. Application dated, is hereby made to the Building Inspector of the Village of Rye Brook for a pen-nit to install a Fuel Tank as herein described.The applicant and property owner,by signing this document agree that the subject fuel tank(s) will be installed in conformance with all applicable Village,County, State& Federal laws,codes, rules and regulations. Indicate Permit Ty ne: Above Ground • Buried in Ground ( ) I. Address: �Q � I 1�1 1 ��C,&C�,iI + SBL:�a�S r_)6-1-4 4 Zone:�u6 2. PropertyOwner& ddress: 1 4 l �Y OA }I I /� Phone#(�: I`+`I- - Cell#: email:% 1br I G� 0\V , 3. Contractor&Address: Envirostar Innovation Corp., 50 Fields Lane, Brewster, NY 10509 Phone#: 845-279-9555 cell#: email: info@tankremovalservic_es.com 4. Applicant: Envirostar Innovation Corp. Phone#: 845-279-9555 cell#: email: info@tankremovalserviees.eom 5. Indicate Fuel Type: Fuel Oil •L.P. Gas( )•Gasoline( )•Other( ): 6. Number and Capacity of each Tank: l `�-�� q'uu)1n 7. Exact Location(s)of each Tank: � � ,�` 6/l/2024 STATE OF NEW YORK,COUNTY OF WESTCHESTER ) as: Envirostar innovation Gorp ,being duly swom,deposes and states that he/she is the applicant above named, (print name of individual signing as the applicant) and further states that(s)he is the Tank Removal/Abandonment Contractor for the legal owner and is duly authorized to make and file this application. That all statements contained herein are true to the best of his/her knowledge and belief,and that any work performed,or use conducted at the above captioned property will be in conformance with the details as set forth and contained in this application and in any accompanying approved plans and specifications,as well as in accordance with the New York State Uniform Fire Prevention&Building Code,the Code of the Village of Rye Brook and all other applicable laws,ordinances and regulations. Sworn to before me this Sworn to before me this "1 day of 120 day of ,20 _ Signature o roperty O r Signature of Applicant 5t.AA s�µ/��f� yupwLt Print Name of Property Owner mt Na e t Apply t Nota Y K RIVERA Notary Public N r State of +�`,,,N,N�tlngry�dll',, glary Pubtk New York pl440 +led In Y,u5ichasterCounty ,•' SrpTE -_ Co*h;4i;�traA"Pten>Wt K- erly completed in its entirety and must include the no€ari, NEW YOttK'•: signature(s) of the legal owner(s)of the subject property, and the applicant of retold ilx ARY �C provided. Any application not properly completed in its entirety and/or not properly 4 s s ott deemed null and void and will be returned to the applicant. •. a ,= 2 6/l/2024 BRO( o � m Q � BUILDING DEPARTMENT ❑5XALDING INSPEC'FOR ASSISTAN'r BUILDING INSPECTOR VILLAGE OF RYE BROOK ❑CODE ENFORCEMENT OFTICER 938 ICING STREET • RYE BROOK,NY 10573 (914) 939-0668 FAX (914) 939-5801 www IT,&rookorg - - - - - - - - - - - - - - - - - - - - INSPECTION REPORT - - - - - - - - - - - _ - - - - _ - - - ADDRESS : 2 O ! t v �) In1 1 LL( 0,1,o /, DATE: ,r PERMIT# ;�� � ISSUED: Z)'SECT: /,2�- 7L BLOCK: LOT: � Z LOCATION: C j OCCUPANCY: ❑ VIOLATION No'rP,i) THE WORK IS... ACCEPTED ❑ RujJ ("t'ED/ IREINSPIXTION ❑ SITE INSPECTION 1Z Ll2 U It j;I I ❑ FOOTING ❑ FOOTING DRAINAGE ❑ FOUNDATION ❑ UNDERGROUND PLUMBING NQrFS ON INSPECTION: ❑ ROUGH PLUMBING ❑ ROUGH FRAMING ❑ INSULATION ❑ NATURAL GAS At 0 L.P. GAS VV ❑ FUEL TANK �� ❑ FIRE SPRINKLER ❑ FINAL PLUMBING ❑ CROSS CONNECTION O' ❑ FINAL S� i t I "OTHER ' ,� APR 17 2025 The Arbors Homeowners' Association 173 '/z Ivy Hill Crescent Rye Brook, NY 10573 April 14th, 2025, William Straubinger 201 Ivy Hill Crescent Rye Brook, NY 10573 Re: Above Ground Oil Tank Dear Bill, The Architecture and Grounds Committee (A&G) and the Board has reviewed your application for the above-named work. The approval requires that you screen off or paint your tank if needed. The paint color would match the house color. This project requires a permit from The Village of Rye Brook. You are approved to get a permit from the Village of Rye Brook. You are directed to submit this letter to the Village along with your permit application. Once the permit is obtained, a copy must be provided to A&G. Work on the project may not begin until you receive written notice of receipt of your permit from A&G. If any changes are made to the original plans submitted to A&G, due to input from the Village or arising during construction, the Committee must be notified in writing. Work cannot proceed until you receive written approval for those changes. Failure to comply with these procedures will result in fines and/or work stoppage. If you have any questions, please contact me at: Property Manager. Sincerely, Nicholas Salzarulo Property Manager J d.."9 M /.. "�1 f"1 Le) � M +C M L1 C• a-* t` � C �• O Q �, N lxP M 11 1J N N F OC � Q h M 00 00 fN rN O rN r V Ul 1-1 rill IC C+ 00 •—+ rJ M .'t • .�� N rN �. O 00 N �7 N .-ti N v al .--� 00 --T Ch O L y y Y .-� N � r. tn to cu 3 0� 0A DA _ Y C C _ �''-- '�`•�yew .. •� - _ aTr .• � •.`.,M1•c: .. -• � :+ '. � - '� -�� - j. +:tit nf�•. .• r - f � -� _i .. ~.r •�.. J'•o.dp�.': _ -a t- a' +h�•. ��"`'•r� _sy �" !t"'y J rre �fl� l 0 •M�r� s� � R V r ' Jot Y � � r ti „/• yr.M ". tiR" td at � '� AN 04 r y �fJ� _ Or or = � s *- r *• _ _ r ti � 3 t Zk r;, ✓-, S♦ ,,,• - „r• .�_-fir` ,,••' r ��� .,1 . ;� _ r l P Poe .1 _ � e '' lop aL a M IL r 4r,y r- Of! Yf AaMfii-.1M I Ad. ggo pu 7 co > & 0 U % V1. C) 0) U OF C) C) z ...... "ti LO 4-j y O LU 0section Z U) 0 z CA 0 w Owl Cc 1— 0 uj U) 3�.1U_ < 0 LU U) • LT. 0 0 wo > 0 Z > z 0 co 0 co E 0 CD 716- ce) 0 1 6. 0 G L) IF . ............ -y T Tit /�00"fliol'` W, "; I JOE RfA 0 kk gu'xl: AM IMF .:'� - 'jjg%V p­T! g-MV ;ii� i­ - plflk ­­4 dwv�: 'Z4.41"W. z Off MWOR-2 S7�11W qC ® DATE(MWDD/YYYY) ,`� CERTIFICATE OF LIABILITY INSURANCE 12/30/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CONTACT Dominica Twitty _ The Allan Twitty Insurance Agency,LLC PHONE (845)278 6160 (FAX,NI I: (845)278-6537 P.O. Box 419 E-MAIL ADDRESS: dominir-a@atwittyinsurance.com C� ttYInsurance.com INSURERS)AFFORDING COVERAGE NAIC# Patterson NY 12563 INSURERA: Benchmark Insurance Company 41394 INSURED INSURERB: Ohio Casualty Insurance Company 24074 Envirostar Innovation Corp INSURERC: 50 Fields Lane INSURERD: INSURER E: Brewster NY 10509 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- _ INSR TYPE OF INSURANCE ADDL SUBR i-POLICY EFF POLICY YY LIMITS LTR POLICY NUMBER MMID DDlYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE U OCCUR A GET RENTED PREMISES Ea occurrence $ 50,000 X Professional Liability VIED EXP(Any one person) $ 10,000 A X Contractors Pollution Liability MNGR-P-2001798 12/29/2024 12/29/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X 1:1 JPRO- POLICY XX LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Professional/Pollution I $ $1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Es acdden, ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per a.dZl $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A X EXCESS LIAB CLAIMS-MADE MNGR-X2000790 12/29/2024 12/29/2025 AGGREGATE $ 3,000,000 DED 1 1 RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER _ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA -- (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Inland Marine Scheduled Equip $250,748 B BMO 58 51 15 00 01/04/2025 01/04/2026 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Rye Brook ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept. AUTHORIZED REPRESENTATIVE 938 King Street ` � ,� Rye Brook NY 10573 �yul ` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD N Y S I F PO Box 66699,Albany,NY 12206 New York State Insurance Fund nysif.com CERTIFICATE OF WORKERS' COMPENSATION INSURANCE A A A A A A 823325897 Q rO ALLAN TWITTY INSURANCE AGENCY PO BOX 419 PATTERSON NY 12563 O SCAN TO VALIDATE AND SUBSCRIBE POLICYHOLDER CERTIFICATE HOLDER ENVIROSTAR INNOVATION CORP. VILLAGE OF RYE BROOK 50 FIELDS LANE BUILDING DEPT. BREWSTER NY 10509 938 KING STREET RYE BROOK NY 10573 POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE W 2549 055-8 940310 06/29/2024 TO 06/29/2025 07/01/2024 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 2549 055-8, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW,AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY. IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY, INCLUDING ANY NOTIFICATION OF CANCELLATIONS, OR TO VALIDATE THIS CERTIFICATE, VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/ CERTVAL.ASP. THE NEW YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS. THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PRESIDENT GREGORY DINAPOLI ENVIROSTAR INNOVATION CORP(1 OF 1) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND /,/� 4 DIRECTOR, I SURANCE FUND UNDERWRITING VALIDATION NUMBER: 891335243 0 0 000�121 I1110000 0 9114411611711111111 Form WC-CERT-NOPRINT Version 3(08.!29/2019)[WC Pohcy-254905581 U-26.3 23 [00000000000129140617][0001-0000254905581[#*W][16421-14)[CerLNOP{ERT-1][01-000011